Healthcare (Medicaid)

in committee · United States · House Jun 5, 2025

HR 3792: KIDS Act

HR 3792, the KIDS Act, prohibits healthcare providers participating in Medicare, Medicaid, or CHIP from requesting minors' gender identity or sexual preference on intake forms or during healthcare enrollment. The bill bans such requests for non-essential information unrelated to a minor's medical diagnosis, treatment, or prevention of health conditions. Providers must stop collecting this data 180 days after the bill's enactment, with a new reporting system for violations to be established by the HHS within the same timeframe. This directly affects healthcare providers serving children under 18 in federally funded health programs.

Topics ✓ HealthcareSupports HealthcareProhibits non-medical data collection in healthcare enrollment, protecting patient privacy rights under healthcare services.85% confidence

Sub-Topics Children's Health Medicaid Medicare

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in committee · United States · House Jun 5, 2025

HR 3769: Dependent Income Exclusion Act of 2025

HR 3769, the Dependent Income Exclusion Act of 2025, modifies tax rules to help families qualify for health insurance premium tax credits. It excludes certain income earned by dependents under age 18, or dependents aged 18-24 enrolled in approved education or job-training programs (like those under the Workforce Innovation Act), from being counted toward household income for credit calculations. The exclusion is limited to 15% of a family’s total income, and in states that haven’t expanded Medicaid, it cannot reduce household income below 100% of the federal poverty line. The bill amends the Internal Revenue Code and Affordable Care Act to implement these changes, affecting families claiming health insurance tax credits.

Topics ✓ Budget & TaxesSupports Budget & TaxesExcludes dependent income from household calculations for premium tax credits, providing tax relief to lower-income families by increasing eligibility for subsidies.95% confidence ✓ HealthcareSupports HealthcareExcludes dependent income from household calculations to increase eligibility for health insurance premium tax credits, expanding access to coverage.95% confidence

Sub-Topics Income Tax Tax Credits Children's Health Insurance Medicaid

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in committee · United States · Senate Jul 23, 2025

S 2410: Medicaid Bump Act

S 2410, the Medicaid Bump Act, increases federal funding for states that raise spending on Medicaid-covered behavioral health services (including mental health and substance use treatment) above 2019 baseline levels. It provides a 90% federal match for the amount exceeding that baseline, requiring states to use these funds to supplement, not replace, existing state funding for these services. States must also use the funds to improve service delivery, such as through higher provider payments or reducing staff turnover. The bill mandates annual reports to Congress on payment rates, service utilization, and the rationale for payment rates for these services. This directly affects state Medicaid programs and providers delivering behavioral health services.

Topics ✓ Budget & TaxesSupports Budget & TaxesProvides federal 90% match for states increasing Medicaid behavioral health spending above 2019 baseline, requiring state supplement of existing funding to advance public service funding.90% confidence ✓ HealthcareSupports HealthcareIncreases federal funding (90% match) for mental health/substance use treatment services, requires state supplementing (not replacing) existing funding, and mandates improved service delivery.95% confidence

Sub-Topics Medicaid Medicare Mental Health

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in committee · United States · House Jan 12, 2026

HR 7023: Affordable CHOICE Act

The Affordable CHOICE Act (HR 7023) creates a new public health insurance option to be offered exclusively through state health insurance exchanges starting in 2027. It directly affects consumers purchasing coverage through these exchanges by adding a government-run plan that must offer bronze, silver, and gold coverage tiers. Key provisions require the Secretary to set premiums based on geographic rates (using Medicare reimbursement rates if negotiations with providers fail), collect data to reduce health disparities, and establish provider networks using existing Medicare/Medicaid participating providers unless they opt out. The plan must maintain quality and affordability while operating under the same consumer protections as private plans in the exchanges.

Topics ✓ HealthcareSupports HealthcareAdds government-run public health insurance option through state exchanges, expanding coverage choices and access for consumers purchasing through exchanges.95% confidence

Sub-Topics Insurance Medicaid Medicare

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in committee · United States · House Aug 29, 2025

HR 5064: Save our Safety-Net Hospitals Act of 2025

This bill changes Medicaid payment rules to provide more financial support for safety-net hospitals - those serving high numbers of low-income patients. It allows states to use unspent federal funds from prior years to increase payments to these hospitals, without exceeding the overall annual funding cap. States cannot recoup payments already made to hospitals under older rules, and must report any increased payments in their annual Medicaid reports. The changes apply to payments for Medicaid plan years starting after the bill's enactment.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill increases Medicaid funding for safety-net hospitals by allowing use of unspent federal funds without exceeding caps, strengthening public health spending.95% confidence ✓ HealthcareSupports HealthcareIncreases Medicaid funding for safety-net hospitals serving low-income patients, advancing healthcare access and financial stability for critical providers.95% confidence

Sub-Topics Hospitals Medicaid

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in committee · United States · House Jun 10, 2025

HR 3864: Protecting Health Care for All Patients Act of 2025

This bill prohibits federal health programs (including Medicare, Medicaid, and CHIP) from using quality-adjusted life years (QALYs) or similar metrics to deny coverage, limit payments, or set incentives for care. It directly affects patients with disabilities, elderly individuals, or those with terminal illnesses, who may have faced reduced care access under such metrics. Key provisions ban QALY-based decisions in coverage determinations starting January 1, 2027, and require states and insurers to comply. The bill also mandates a report on how QALYs negatively impact access to care for people with intellectual and developmental disabilities.

Topics ✓ HealthcareSupports HealthcareBans QALY-based denial of coverage in Medicare/Medicaid, protecting access for disabled, elderly, and terminal patients per bill summary.95% confidence

Sub-Topics Long-Term Care Medicaid Medicare Tags People with Disabilities

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in committee · United States · Senate Dec 18, 2025

S 3560: Closing the Contraception Coverage Gap Act

The Closing the Contraception Coverage Gap Act requires Medicare Part B, Part C, and Part D to cover all FDA-approved contraceptive items and services at no cost-sharing starting January 1, 2027. This includes not just contraceptive methods themselves but also related clinical services like counseling, examinations, device insertion, and follow-up care. The bill ensures dual-eligible Medicare and Medicaid beneficiaries receive contraceptive coverage that matches Medicaid's comprehensiveness. It also mandates two studies on contraceptive coverage gaps, with reports to Congress within 1-2 years.

Topics ✓ HealthcareSupports HealthcareMandates comprehensive contraceptive coverage under Medicare with no cost-sharing, expanding access to essential reproductive health services and aligning with Medicaid standards.95% confidence

Sub-Topics Medicaid Medicare Women's Health

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in committee · United States · Senate Jan 24, 2025

S 249: Access to Pediatric Technologies Act of 2025

This bill requires Medicare to establish national payment rates for qualifying pediatric medical devices when manufacturers request it. It directly affects device manufacturers and Medicare by creating a formal process to set these rates, which are used to reimburse doctors for using these devices. Key provisions include a timeline for requests (by May 1 annually), requiring manufacturers to submit data like pricing and claims information, and defining qualifying devices as those approved for pediatric use in procedures predominantly for children or specifically designed for them. The bill does not change Medicare coverage requirements but streamlines payment rate establishment for existing approved devices.

Topics ✓ HealthcareSupports HealthcareCreates Medicare payment rates for pediatric devices, improving reimbursement for doctors and enhancing patient access to essential medical technology.95% confidence

Sub-Topics Children's Health Medicaid Medicare

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in committee · United States · Senate Dec 17, 2025

S 3522: No Red Tape For Addiction Treatment Act

This bill requires states to cover medication-assisted treatment (MAT) for opioid use disorder under Medicaid without prior authorization or dosage limits for at least one formulation of each approved drug. It directly affects Medicaid patients with opioid use disorder and their healthcare providers, removing administrative barriers that previously required extra approvals or restricted dosing. The bill amends Medicaid law to mandate this coverage, while also requiring a federal report analyzing how current state policies (like dosing limits or counseling requirements) impact access to MAT. The changes apply starting one year after enactment, with states needing time to adjust if new state laws are required.

Topics ✓ Criminal JusticeSupports Criminal JusticeBill promotes addiction treatment access through Medicaid, reducing barriers to rehabilitation that can help prevent recidivism and support criminal justice reform.75% confidence ✓ HealthcareSupports HealthcareMandates Medicaid coverage of MAT without prior auth/dosage limits, expanding access to addiction treatment services per bill's core requirement.95% confidence

Sub-Topics Drug Policy Medicaid Substance Abuse

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in committee · United States · Senate May 12, 2025

S 1709: Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025

The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 establishes specific minimum nurse-to-patient ratios for different hospital units, such as 1:1 in trauma emergency units and 2:1 in critical care units. Hospitals must develop and annually update staffing plans with nurse input, document actual staffing levels for each shift, and prohibit practices like averaging ratios or mandating overtime. The bill provides protections for nurses who refuse unsafe assignments and prohibits retaliation for reporting staffing violations, with enforcement through Medicare, Medicaid, and other federal health programs. This applies to all hospitals, including those operated by the Department of Veterans Affairs, Department of Defense, and Indian Health Service.

Topics ✓ HealthcareSupports HealthcareEstablishes mandatory nurse-to-patient ratios for patient safety and quality care, directly strengthening healthcare standards and protecting patient rights through staffing requirements.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentEstablishes mandatory nurse-to-patient ratios, prohibits unsafe overtime, and protects nurses refusing unsafe assignments - directly advancing workplace safety standards for healthcare workers.95% confidence

Sub-Topics Healthcare Workforce Hospitals Medicaid Labor Standards

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